Where is this data coming from?

This data represents aggregated & anonymized data across PT, OT and SLP practices on StrataPT's EMR & RCM platforms.

What do the dashed lines represent?

We use dashed lines to represent data that is likely to change quite often.

What is the average First Pass Clean Claim Rate in Maryland?

The average First Pass Clean Claim Rate in Maryland is 98.44% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in Maryland?

The average Denial Rate in Maryland is 4.32% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in Maryland?

The expected Reimbursement Per Visit in Maryland is $117.87 for physical therapy, occupational therapy and speech language therapy practices.

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Healthcare Payer Reimbursement Rates in Maryland

Accepting healthcare payers in Maryland shouldn't be mysterious. We share our aggregate data -- whether you're a client of ours or not.

Healthcare Payer Reimbursement Rates for Physical Therapy Practices in Maryland

Physical Therapy Practice Benchmarks in Maryland

First Pass Clean Claim Rate

The percentage of claims which meet standards for correct coding, modifiers, structure, and formatting on the first attempt.

Data refreshed 22 hours ago

99.70%

Latest

98.44%

Average

99.80%

Max

95.30%

Min

Denial Rate

The percentage of claims which are eventually denied by insurers, for a variety of possible reasons, including: patient policy information, exhausted benefits, authorization, limits, or provider status.

Data refreshed 22 hours ago

0.20%

Latest

4.32%

Average

10.30%

Max

0.20%

Min

Average Reimbursement Per Visit

While negotiated reimbursement rates between a health insurance company and a healthcare provider are confidential, we can give you a general sense for reimbursement rates by looking at the aggregate data across StrataPT's customers.

Data refreshed 22 hours ago

$117.87

Latest

$174.99

Expected

$117.87

High

$174.99

Mean

$104.77

Low

$94.30

Median

$101.46

Top Healthcare Payers in Maryland

Aetna: $116.44
paid in 11 days
Medicare of Maryland: $112.88
paid in 16 days
Carefirst BCBC - VA, DC, MD: $96.93
paid in 9 days
Medicare of DC: $96.05
paid in 17 days
BCBS of Maryland: $76.18
paid in 13 days

All rights reserved. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

Healthcare Payer Reimbursement Rates by State

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Frequently Asked Questions

Healthcare Payer Reimbursement Rates in Maryland

Healthcare Payer Reimbursement Rates for Physical Therapy Practices in Maryland

Average Reimbursement Per Visit

While negotiated reimbursement rates between a health insurance company and a healthcare provider are confidential, we can give you a general sense for reimbursement rates by looking at the aggregate data across StrataPT's customers.

Data refreshed 22 hours ago

Top Healthcare Payers in Maryland

Aetna

Medicare of Maryland

Carefirst BCBC - VA, DC, MD

Medicare of DC

BCBS of Maryland

Healthcare Payer Reimbursement Rates by State

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Frequently Asked Questions

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